This two-day seminar includes 70% hands-on practical training and 30% didactic lecture instruction. The content of the seminar focuses on the practical hands-on skills required to perform high-velocity low-amplitude (HVLA) thrust manipulation techniques in a competent and safe manner for all of the spinal regions.

Current evidence will also be presented that underpins the use of spinal manipulation for cervicogenic headaches, cervicothoracic dysfunction, shoulder pain and upper rib syndromes, acute and chronic low back pain, sacroiliac joint dysfunction, and mechanical neck pain.

Improve the use of body and posture in application of high-velocity low-amplitude thrust, making them an integral part of technique delivery.

Start combining leverages using multiple components in order to focus forces and build “mechanical barriers” at target motion segments.

Develop the psychomotor skills necessary to appreciate the pre-manipulative barrier (end-feel) utilized in minimal leverage or momentum induced manipulative technique by concentrating on combining multiple leverages in order to minimize the overall amplitude and force required to achieve cavitation.

Facilitate sound clinical reasoning processes behind the choice (or not) of high-velocity low-amplitude techniques and an appreciation of the current evidence base behind their application.

Demystify the delivery of high-velocity low-amplitude thrust manipulation and develop an appreciation of its merits and limitations in every day clinical practice.

Utilize clinical reasoning skills in the selection of high-velocity low-amplitude thrust manipulation techniques for a variety of neuromusculoskeletal dysfunctions.

Course registrations should be completed online; however, if you prefer to mail your registration form, please print and mail the COURSE REGISTRATION FORM with payment by check (made out to Spinal Manipulation Institute) or credit card to:

Early bird registration (e.g. $625 for SMT-1; $795 for DN-1) applies only to participants who register more than 20 days before the listed course start date; regular registration ($660 for SMT-1) applies to participants who register less than 20 days before the listed course start date. A full refund of course tuition may be obtained with cancellations that occur more than 21 days prior to the course start date (minus 3.5% credit card transaction fee); however, cancellations with less than 21 days notice only qualify for a 50% refund or 50% transfer to another course. No refunds are awarded after the course begins.

Attention: Participants for the osteopractic spinal manipulation and dry needling courses in Italy must be a licensed physiotherapist or medical doctor. Osteopaths may only participate if they are also a licensed PT or MD. Proof of licensure will need to be provided via email 2 weeks prior to the course start date. If a registrant is not able to provide proof of license as a physiotherapist or medical doctor, the registration will be cancelled and refunded; however, AAMT will not be responsible for any travel or accommodation bookings.